| NPI | 1669004578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015280) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 793092) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 793092) | |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2021-02-10 |